Medstreaming is looking for a Director of Revenue Cycle Management to oversee the Revenue Cycle Management (RCM), Medical Billing, and Coding team within the company. The Director of RCM is responsible for managing, overseeing developing the efficiencies and the revenue generated from Medstreaming’s RCM product. This accountability includes designing and implementing processes, functions, and any interdependencies of the RCM product with other areas of the overall Medstreaming product suite; managing an Operations team of direct reports that are responsible for the account management and customer support; and partnering with stakeholders both internal and external for the ongoing needs of the RCM product
Develop strategic plans for the RCM team and ensure goals & objectives are properly defined and clearly established.
Identify, analyze and address challenges or breakdowns in the RCM process.
Monitor effectiveness of activities, ensuring that outstanding authorizations, billings, postings, collections and accounts receivables are within established SLAs.
Enhance and standardize workflows. Develop and implement billing practices by leveraging technology to automate, and standardize processes.
Conduct regular meetings with the team to ensure implementation of all RCM plans, programs, and projects is adhering to deadlines.
Responsible for maximizing the collection of payments and reimbursement from patients, insurance carriers, government agencies, and guarantors.
Design/develop training programs for development of technical competencies of the team, as needed.
Develop performance measures and standards that are used for team's annual performance review.
Responsible for measuring, monitoring and meeting key performance indicators and departmental goals in accordance with the company's established policies and procedures and industry best practices.
Regularly provide CEO, CFO, and revenue cycle staff with revenue cycle status including reports, key performance indicator metrics, and presentations.
Stay abreast of Medicare/Medicaid and third-party payer billing guidelines and communicate these changes to all interested parties.
Other special projects/assignments as needed.
Client – Office Manager and or Physicians
Insurance companies, as needed
SKILLS & APTITUDES:
Proven leadership abilities, including managing a team of direct reports
Strong attention to detail and a methodical approach to completing tasks.
Proficiency using Microsoft Office products (Word, Excel, Outlook) at an
Respectful of the needs of others to complete their own tasks with minimal interruptions but also has inner drive to complete tasks within timelines by staying focused and asking for help when needed.
Five (5) years of experience with demonstrated expertise in successfully leading and managing a high-performance revenue cycle operation while meeting or exceeding industry benchmarks.
Strong, in-depth knowledge of revenue cycle management principles and practices, including medical billing, coding, collections, managed care products, regulatory compliance, payer credentialing, and financial reporting.
Proven financial management skills, including budgeting, forecasting, trending, benchmarking, and financial analysis of the department performance.
Knowledge of ICD and CPT guidelines.
Bachelor’s Degree in a related field.
Five (5) years of experience as a manager of people, preferably in a Healthcare environment and/or organization
Additional Salary Information: Salaried
Internal Number: 0001
About Medstreaming LLC
Headquartered in Redmond, WA, Medstreaming is a leading provider of Healthcare IT (“HCIT”) solutions for image intensive specialties. We are focused on enabling proactive patient care and increasing the efficiency of healthcare by providing medical IT solutions to individual practitioners and large institutions alike. Since its founding in 2006, Medstreaming has become a leader in delivering specialty-based workflow applications that function as a “best of breed” application for more than 20 different clinical specialties, including, but not limited to, Cardiovascular, Vascular, Cardiology, Women’s Health, and Surgery. Lead by a team of engineers, clinical specialists, and healthcare IT veterans, Medstreaming is committed to dramatically improving the delivery of healthcare and disease management, while becoming a global leader developing medical informatics solutions.